Doctor profile · Federal record

Dr. Ralph Garcia-Pacheco, M.D.

Pulmonary Disease Physician (CMS: Pulmonary Disease) · Critical Care Medicine (Internal Medicine) Physician · Internal Medicine Physician · Bakersfield, CA

  • NPI 1093923088
  • Accepts Medicare
  • MIPS 77.5 / 100 · 2023
  • 25 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1700 Mount Vernon Ave
Bakersfield, CA 93306
(661) 326-2000
fax (661) 326-2000

Credentials & registration

NPPES · NUCC
NPI registered
May 2007 — 19 yrs on file
Profile last updated
July 30, 2015
Year of graduation
2001 — 25 yrs since
Specialty taxonomy
207RP1001X — NUCC code
State license (1)
California #A110188

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1093923088. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
367
Distinct HCPCS
10
Medicare allowed
$49,250
HCPCS Description Services Patients Avg allowed
99291 Critical care, first 30-74 minutes 82 36 $218
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 67 44 $81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 58 45 $122
99214 Established patient office or other outpatient visit, 30-39 minutes 42 30 $100
99213 Established patient office or other outpatient visit, 20-29 minutes 26 21 $68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 25 25 $178
99214 Established patient office or other outpatient visit, 30-39 minutes 22 11 $134
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 19 19 $134
99204 New patient office or other outpatient visit, 45-59 minutes 14 14 $137
99238 Hospital discharge day management, 30 minutes or less 12 12 $84

In context: peer comparison

Among 4 peers in Bakersfield Pulmonary Disease Physician, average services per provider: 233. This provider delivers 1.6× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$95
Transactions
5
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
AstraZeneca Pharmaceuticals Lp 2 $41.01
Zoll Services LLC (A/K/A Zoll LifeCor Corp) 2 $36.04
Alkermes, INC. 1 $17.53

By nature of payment

Food and Beverage
$95

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
322
Patients
43
Total drug cost
$98,693
Drug Type Claims Patients Total cost
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 51 19 $2,087
Breo Ellipta (Fluticasone/Vilanterol) Brand 51 0 $24,416
Ventolin Hfa (Albuterol Sulfate) Brand 45 12 $2,931
Prednisone Generic 29 12 $97
Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) Brand 24 0 $14,712
Incruse Ellipta (Umeclidinium Bromide) Brand 23 0 $16,246
Spiriva Handihaler (Tiotropium Bromide) Brand 21 0 $16,128
Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) Brand 20 0 $15,434
Tramadol Hcl Generic 13 0 $86
Fluticasone-Salmeterol (Fluticasone Propion/Salmeterol) Brand 12 0 $2,081

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Ralph Garcia-Pacheco's medical specialty?
Dr. Ralph Garcia-Pacheco practices Pulmonary Disease Physician in Bakersfield, CA.
Where does Dr. Ralph Garcia-Pacheco practice?
Dr. Ralph Garcia-Pacheco practices at 1700 Mount Vernon Ave, Bakersfield, CA 93306. Office phone: 6613262000.
What is Dr. Ralph Garcia-Pacheco's NPI?
Dr. Ralph Garcia-Pacheco's National Provider Identifier (NPI) is 1093923088, issued by NPPES.
Does Dr. Ralph Garcia-Pacheco accept Medicare assignment?
Yes. Dr. Ralph Garcia-Pacheco accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ralph Garcia-Pacheco commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.